Providing comprehensive assessment of iodine sufficiency and
antagonistic halides in a single test, the Urine Halides test assesses
iodine as well as exposure to and retention of bromide and fluoride.
Iodine is an essential element required for normal function of the
thyroid gland and immune system, and the integrity of breast tissue.
Bromide and fluoride are non-essential, antagonistic halides that can
disrupt iodine homeostasis and function. The test can be performed using
conventional random or 24-hour urine collection or after administration
of a loading dose of iodide/iodine. Iodine and bromine are measured by
ICP-MS, as is used by the CDC.
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5 to 7 days
Click any analyte name for additional clinical information, including reference ranges, specimen collection, stability and rejection criteria.
List price applies when filing with insurance or Medicare, or when billing a patient directly.
Prompt payment pricing applies when billing to a physician account or prepayment is received with the test.
Doctor's Data offers profiles containing multiple analytes. *Multiple analytes may be billed under a single CPT code. Many analytes can be ordered individually. Pricing may vary. Click on a specific analyte for more information or read our detailed billing and payment policies.
The CPT codes listed on our website are for informational purposes only. This information is our interpretation of CPT coding requirements and may not necessarily be correct. You are advised to consult the CPT Coding Manual published by the American Medical Association. Doctor's Data, Inc. takes no responsibility for billing errors due to your use of any CPT information from our website.
Specific tissues in the body require adequate iodine and the reduced form of the element, iodide, for normal metabolism and optimal health. Adequate iodide uptake and organification of iodine by the thyroid gland is required for the production, storage and release of thyroid hormones. Triiodothyronine (T3) regulates metabolism in several tissues by affecting energy production and neuronal and sexual development. Iodine insufficiency is associated with "sub-clinical" thyroid deficiency, weight gain, loss of energy, goiter and impaired mental function. Iodine is also concentrated in breast tissue where it elicits anti-proliferative effects and protection against fibrocystic breast disease and cancer. Iodine and organic iodine compounds are also concentrated and secreted by the gastric mucosa, salivary glands and the cervix.
Iodine status and metabolism are affected not only by iodine intake, which has decreased significantly, but also by intake and retention of goitrogenic halides bromide and fluoride. Excessive intake of the antagonistic halides can accumulate in tissues, displace iodine and compromise the production of thyroid hormones and the integrity of the thyroid and mammary glands. Antagonistic bromide is abundant in commercially produced baked goods, soft drinks, pesticides, brominated chemicals and some medications. Primary sources of fluoride include fluoridated water, beverages, toothpaste, mouthwashes and some medications.
The Urine Halides test provides comprehensive assessment of iodine sufficiency and retention of antagonistic halides in a single test. The test requires a spot urine specimen, preferably first morning void (FMV), for determination of baseline halide levels. An oral loading dose of iodine/iodide is ingested and all urine is collected for the subsequent 24 hours. Iodine and displaced bromide and fluoride are measured in the urine and the results for each element are reported as µg/gm creatinine and µg/24 hours. Iodine status is assessed by evaluation of the percentage of the ingested dose that is excreted. Low iodine excretion is suggestive of greater bodily retention and need.
The specific halides are analyzed in urine using the most accurate methodology available for each element. Iodine and bromine are measured by ICP-MS as is used by the CDC. Fluoride is measured by ion selective electrode (ISE).